Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the Literature

We report the case of a 53-years-old patient, known to have coronary artery disease, presenting with typical angina at rest with normal ECG and laboratory findings. His angina is relieved by sublingual nitroglycerin. He had undergone a cardiac catheterisation two weeks prior to his presentation for...

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Main Authors: Ghassan Nakad, Hamid Bayeh
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2013/407242
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author Ghassan Nakad
Hamid Bayeh
author_facet Ghassan Nakad
Hamid Bayeh
author_sort Ghassan Nakad
collection DOAJ
description We report the case of a 53-years-old patient, known to have coronary artery disease, presenting with typical angina at rest with normal ECG and laboratory findings. His angina is relieved by sublingual nitroglycerin. He had undergone a cardiac catheterisation two weeks prior to his presentation for the same complaints. It showed nonsignificant coronary lesions. Another catheterisation was performed during his current admission. He developed coronary spasm during the procedure, still with no ECG changes. The spasm was reversed by administration of 2 mg of intracoronary isosorbide dinitrate. Variant (Prinzmetal's) angina was diagnosed in the absence of electrical ECG changes during pain episodes.
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spelling doaj-art-6e685863fabc47e39d588a032fd60ccd2025-02-03T06:44:26ZengWileyCase Reports in Cardiology2090-64042090-64122013-01-01201310.1155/2013/407242407242Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the LiteratureGhassan Nakad0Hamid Bayeh1Lebanese University, Beirut 6573, LebanonNotre Dame des Secours University Hospital, Holy Spirit University, Joubeil 1401, LebanonWe report the case of a 53-years-old patient, known to have coronary artery disease, presenting with typical angina at rest with normal ECG and laboratory findings. His angina is relieved by sublingual nitroglycerin. He had undergone a cardiac catheterisation two weeks prior to his presentation for the same complaints. It showed nonsignificant coronary lesions. Another catheterisation was performed during his current admission. He developed coronary spasm during the procedure, still with no ECG changes. The spasm was reversed by administration of 2 mg of intracoronary isosorbide dinitrate. Variant (Prinzmetal's) angina was diagnosed in the absence of electrical ECG changes during pain episodes.http://dx.doi.org/10.1155/2013/407242
spellingShingle Ghassan Nakad
Hamid Bayeh
Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the Literature
Case Reports in Cardiology
title Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the Literature
title_full Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the Literature
title_fullStr Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the Literature
title_full_unstemmed Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the Literature
title_short Unusual Vasospastic Angina: A Documented Asymptomatic Spasm with Normal ECG—A Case Report and a Review of the Literature
title_sort unusual vasospastic angina a documented asymptomatic spasm with normal ecg a case report and a review of the literature
url http://dx.doi.org/10.1155/2013/407242
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